PNF and Movement

Korea Proprioceptive Neuromuscular Facilitation Association (대한고유수용성신경근촉진법학회)
권호 표지
DOI QR코드

DOI QR Code

Effects of Transcranial Stimulation and Task-Oriented Training on Upper Extremity and Cognitive Function in Chronic Stroke Patients

  • Yeong-Ae Yang (Department of Occupational Therapy, College of Biomedical Science and Engineering, Inje University) ;
  • Na-Yun Lee (Department of Occupational Therapy, KyungBuk College)
  • Received : 2023.05.22
  • Accepted : 2023.07.12
  • Published : 2023.08.31
Download PDF
⟨ Previous Next ⟩

Abstract

Purpose: We investigated the effects of transcranial stimulation and task-oriented training on upper extremity and cognitive function in chronic stroke patients. Methods: A total of 30 patients were randomly divided into transcranial stimulation and task-oriented training groups (TT) and task-oriented training groups (TO). The TT group performed 30 min 5 times a week for 4 weeks in task-oriented training combined with transcranial direct current stimulation. The TO group performed 30 min 5 times a week for 4 weeks in task-oriented training. To measure upper extremity function, the Jebsen-Taylor Hand Function Test, Manual Function Test, and Cognitive Function Test were performed using the Stroop Test and the Trail Making Test. Results: There was a significant difference (P < 0.05) before and after training in both groups, and the TT group showed significant improvement in both groups. Conclusion: In this study, we confirmed transcranial stimulation and task-oriented training in upper extremity function and cognitive function in patients with chronic strokes.

Keywords

References

  1. American Stroke Association. Understand stroke, What is stroke. 2020. https://www.stroke.org/en/about-stroke Accessed February 25.
  2. Artilheiro MC, F avero FM Caromano F A et al. Reliability, validity and description of timed performance of the Jebsen-Taylor Test in patients with muscular dystrophies. Brazilian Journal of Physical Therapy. 2018;22(3): 190-197. https://doi.org/10.1016/j.bjpt.2017.09.010
  3. Bang YS. The change of activity of daily living on task-oriented learning program in young adult with cerebral palsy. The Journal of Korean Society of Occupational Therapy. 2003;11: 87-99.
  4. Boggio PS, Castro LO, Savagim EA et al. Enhancement of non-dominant hand motor function by anodal transcranial direct current stimulation. Neuroscience Letters. 2006;404(1-2): 232-236. https://doi.org/10.1016/j.neulet.2006.05.051
  5. Cangoz B, Karakoc E, Selekler K. Trail Making Test: normative data for Turkish elderly population by age, sex and education. Journal of the Neurology Science. 2009;283(1-2):73-78. https://doi.org/10.1016/j.jns.2009.02.313
  6. Cogiamanian F, Marcegli SARA, Ardolino G et al. Improved isometric force endurance after transcranial direct current stimulation over the human motor cortical areas. European Journal of Neuroscience. 2007;26(1):242-249. https://doi.org/10.1111/j.1460-9568.2007.05633.x
  7. Duncan P, Studenski S, Richards L et al. Randomized clinical trial of therapeutic exercise in subacutestroke. Stroke. 2003;34(9):2173-80. https://doi.org/10.1161/01.STR.0000083699.95351.F2
  8. Goethals I, Audenaert K, Jacobs F et al. Cognitive neuroactivation using SPECT and the Stroop Colored Word Test in patients with diffuse brain injury. Journal of Neurotrauma. 2004;21(8): 1059-1069. https://doi.org/10.1089/0897715041651051
  9. Hazime FA, da Cunha RA, Soliaman RR et al. Anodal transcranial direct current stimulation (TDCS) increases isometric strength of shoulder rotators muscles in handball players. International Journal of Sports Physical Therapy. 2017;12 (3): 402.
  10. Jatupaiboon N, Pan-ngum S, Israsena P. Real-Time EEG-Based Happiness Detection System. ScientificWorldJournal. 2013; .618649: eCollection.
  11. Joo MC, Park HI, Noh SE et al. Effects of robot-assisted arm training in patients with subacute stroke. Brain & Neurorehabilitation. 2014;7(2): 111-117. https://doi.org/10.12786/bn.2014.7.2.111
  12. Kim JH, Jeong MG. Effect of Task-Oriented Training Including Aftereffect After Applying rTMS on Hand Spasticity in Stroke Patients. Neurotherapy. 2017;21(2):21-29.
  13. Kleim JA, Jones TA. Principles of experience-dependent neural plasticity: implications for rehabilitation after brain damage. Journal of Speech, Language, and Hearing Research. 2008;51 (1): 225-239.
  14. Lee YS, Kim SY, Kim CK et al. The effect of Neurofeedback training on brain wave activity and cognitive performance in chronic stroke patients. Journal of the Korea Academia-Industrial Cooperation Society. 2013;14(5): 2329-2337. https://doi.org/10.5762/KAIS.2013.14.5.2329
  15. Leininger BE, Gramling SE, Farrell AD et al. Neuropsychological deficits in symptomatic minor head injury patients after concussion and mild concussion. The Journal of Head Trauma Rehabilitation. 1992;7(1): 98.
  16. Liebetanz D, Nitsche MA, Tergau F et al. Pharmacological approach to the mechanisms of transcranial DC-stimulation-induced after-effects of human motor cortex excitability. Brain. 2002;125(10): 2238-2247. https://doi.org/10.1093/brain/awf238
  17. Liepert J, Uhde I, Graf S et al. Motor Cortex Plasticity During Forced-Use Therapy in Stroke Patients: APreliminary Study. Journal of Neurology, 2001;248(4):315-21. https://doi.org/10.1007/s004150170207
  18. Marquez JL, Conley AC, Karayanidis F et al. Determining the benefits of transcranial direct current stimulation on functional upper limb movement in chronic stroke. International Journal of Rehabilitation Research. 2017;40(2): 138-145. https://doi.org/10.1097/MRR.0000000000000220
  19. McMorris T, Barwood M, Corbett J. Central fatigue and endurance exercise: towards an interoceptive theory. Neuroscience & Biobehavioral Review. 2018; 93:93-107. https://doi.org/10.1016/j.neubiorev.2018.03.024
  20. Meadmore KL, Exell TA, Hallewell E et al. The application of precisely controlled functional electrical stimulation to the shoulder, elbow and wrist for upper limb stroke rehabilitation: a feasibility study. Journal of NeuroEngineering and Rehabilitation. 2014;11(1):105.
  21. Michel JA, Mateer CA. Attention rehabilitation following stroke and traumatic brain injury. A review. Europa Medicophysica. 2006:42(1): 59-67.
  22. Miyamoto S, Kondo T, Suzukamo Y et al. Reliability and validity of the manual function test in patients with stroke. American Journal of Physical Medicine & Rehabilitation. 2009:88(3): 247-255. https://doi.org/10.1097/PHM.0b013e3181951133
  23. Nair DG, Renga V, Lindenberg R et al. Optimizing recovery potential through simultaneous occupational therapy and non-invasive brain-stimulation using tDCS. Restorative Neurology and Neuroscience. 2011;29(6):411-420. https://doi.org/10.3233/RNN-2011-0612
  24. Nitsche MA, Fricke K, Henschke U et al. Pharmacological modulation of cortical excitability shifts induced by transcranial direct current stimulation in humans. The Journal of Physiology. 2003;553(1): 293-301. https://doi.org/10.1113/jphysiol.2003.049916
  25. Nitsche MA, Paulus W. Excitability changes induced in the human motor cortex by weak transcranial direct current stimulation. The Journal of Physiology. 2000;527(3):633-639. https://doi.org/10.1111/j.1469-7793.2000.t01-1-00633.x
  26. Nitsche MA, Paulus W. Sustained excitability elevations induced by transcranial DC motor cortex stimulation in humans. Neurology. 2001;57(10):1899-1901. https://doi.org/10.1212/WNL.57.10.1899
  27. Park SB, Sung DJ, Kim B et al. Transcranial direct current stimulation of motor cortex enhances running performance. PloS one. 2019;14(2): e0211902.
  28. Patten C, Condliffe EG, Dairaghi CA et al. Concurrent neuromechanical and functional gains following upper-extremity power training post-stroke. Journal of Neuroengineering & Rehabilitation. 2013;10(1):1.
  29. Priori A, Berardelli A, Rona S et al. Polarization of the human motor cortex through the scalp. Neuroreport. 1998;9(10): 2257-2260. https://doi.org/10.1097/00001756-199807130-00020
  30. Radford KA, Lincoln NB. Concurrent validity of the stroke drivers screening assessment. Archives of Physical Medicine and Rehabilitation. 2004;85(2): 324-328. https://doi.org/10.1016/S0003-9993(03)00765-2
  31. Sawaki L, Wu CW, Kaelin-Lang A et al. Effects of somatosensory stimulation use-dependent plasticity in chronic stroke. Stroke. 2006;37(1): 246-247. https://doi.org/10.1161/01.STR.0000195130.16843.ac
  32. Schlaug G, Renga V, Nair D. Transcranial direct current stimulation in stroke recovery. Archives of Neurology. 2008;65(12): 1571-1576. https://doi.org/10.1001/archneur.65.12.1571
  33. Shumway-Cook A, Woollacott MH. Motor control. 3rd ed. Philadelphia: Lippincott Williams & Wilkins. 2007:612.
  34. Strauss GP, Allen DN, Jorgensen ML et al. Test-retest reliability of standard and emotional stroop tasks: an investigation of color-word and picture-word versions. Assessment. 2005;12(3): 330-337. https://doi.org/10.1177/1073191105276375
  35. Tanaka S, Hanakawa T, Honda M et al. Enhancement of pinch force in the lower leg by anodal transcranial direct current stimulation. Experimental Brain Research. 2009;196(3): 459-465. https://doi.org/10.1007/s00221-009-1863-9
  36. Vargas VZ, Baptista AF, Pereira GO et al. Modulation of isometric quadriceps strength in soccer players with transcranial direct current stimulation: a crossover study. The Journal of Strength & Conditioning Research. 2018;32(5):1336-1341. https://doi.org/10.1519/JSC.0000000000001985
  37. Wu C, Trombly CA, Lin KA. Kinematic study of contextual effects on reaching performance in persons withand without stroke: Influence of object availability. Archives of Physical Medicine and Rehabilitaion. 2000;81(1): 95-101. https://doi.org/10.1016/S0003-9993(00)90228-4
  38. Yang NY, Park HS, Yoon TH et al. Effectiveness of Motion-Based Virtual Reality Training (Joystim) on Cognitive Function and Activities of Daily Living in Patients with Stroke. Journal of Rehabilitation Welfare Engineering & Assistive Technology. 2018;12(1): 10-19.